Group | Mobile Populations and Health
Health of Mobile Pastoralists in Asia and Africa
Mobile pastoralists in Africa and Asia are too often excluded from studies, surveillance systems and health programs. It is difficult for health services to include effective outreach with limited availability of financial and human resources. New integrated One Health services making use of available infrastructure from the health and veterinary sectors provide more inclusive services and allow people to maintain their mobile way of life to access available pastures with their livestock. Given that, for example, in Chad 20% of pastoralists regularly cross national borders, we increasingly seek regional approaches.
Health Districts Support in Yao and Danamadji in Chad
Pfizer Adult Vaccination
Brucellosis elimination Mongolia training
Seasonal and Labour Migrants in Côte d’Ivoire and Vietnam
Doctors in Africa rarely ask about the recent travels of their patients – who are often quite mobile throughout Africa. Seasonal workers can remain undiagnosed after returning from focally endemic zones for diseases like human African sleeping sickness. Health insurance can facilitate flexible opening hours and responsive health services for labor migrants in many countries. Innovation in the provision of transferable patient cards for TB patients, as an example, is starting to show positive results for tracking and improving the health of mobile communities in Vietnam.
Migrants in the Peruvian-Brazilian Border Districts
Many seasonal workers from the high altitude Andean region migrate to the tropical Amazonas in Peru and Brazil – for instance, to harvest Brazil nuts or mine gold. They set up camps in the middle of the rainforest, but are usually unaware about health risk exposure. Unprotected migrant workers are exposed to mosquitoes carrying malaria or sandflies transmitting diseases like leishmaniasis. In collaboration with anthropologists, epidemiologists, microbiologists and entomologists, we have monitored the spread of disease and how to increase personal protection of migrants.